Cathy Sparacia

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

239955 Issued in SC

Practice address

4303 Live Oak Dr
Little River, SC 29566-9138

Phone

(843) 663-8039

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1881233567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 LIVE OAK DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669138",
            "telephone_number": "843-663-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 LIVE OAK DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669138",
            "telephone_number": "843-663-8039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACIA",
        "first_name": "CATHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "239955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDE DIABETES EDUCATION",
            "identifier": "163WD04000X",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csparacia@lrmcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "4303 Live Oak Dr",
            "city": "Little River",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295669138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Carolina Podiatric Physicians and Surgeons Group, LLC
• Southern Spinal Care, PC
• Southern Surgical Group, LLC
• Southern Surgical Group, LLC
• Southern Surgical, PA
• Olinda P. Spencer, M.D.
• Samantha Electra Spencer
• Sarah Spencer, DDS
• Michael Sperling, M.D.
• Sr Plus Behavior Consultants, Inc.

• Diabetes Educator Registered Nurse in Little River, SC
• Providers in Little River, SC by specialty
• Diabetes Educator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.